JACQUELINE IVANA STEVENS LMSW
NPI 1033972500
Social Worker in Bridgeport, CT

Active since February 06, 2024PECOS Enrolled
954 BIRMINGHAM ST, BRIDGEPORT, CT 06606(203) 682-5278 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Ivana Stevens Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE IVANA STEVENS LMSW (NPI 1033972500) is an individual social worker in Bridgeport, Connecticut, licensed in Connecticut (6921) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1033972500
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJACQUELINE IVANA STEVENSCredential: LMSW
Location Address954 BIRMINGHAM STBridgeport, CT 06606-3203
Mailing Address954 Birmingham StBridgeport, CT 06606-3203 · (203) 682-5278
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
NPI 1033972500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in CT · 6921
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
954 BIRMINGHAM ST, Bridgeport, CT 06606

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacqueline Ivana Stevens Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557852977
PECOS Enrollment IDI20251113003180
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Stevens's NPI number?

The NPI number for Jacqueline Stevens is 1033972500. It was assigned to this individual provider in the NPPES registry on February 6, 2024.

Where is Jacqueline Stevens located?

Jacqueline Stevens practices at 954 Birmingham St, Bridgeport, CT 06606. The listed phone number is (203) 682-5278.

What is Jacqueline Stevens's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jacqueline Stevens enrolled in Medicare?

Yes. Jacqueline Stevens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Stevens was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.